Active NPI
Thomas Tyrone Jefferson
- Home Health Aide
- Frisco, TX
National Provider Identifier
1770129280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1860 Hollow Falls CT
Frisco, TX 75036-7739 - Phone
- (214) 675-5948
- NPI assigned
- Nov 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1860 Hollow Falls CT
Frisco, TX 75036-7739
Mailing address
1860 Hollow Falls CT
Frisco, TX 75036-7739
Phone (214) 675-5948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVW, Inc | Current | Accepting new patients | |
| Adonia Provider Home Care LLC | Current | Accepting new patients |
Locations
11615 Forest Central Dr
Ste 210
Dallas, TX 75243
Phone (469) 313-3098
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Dallas, TX
- NPI 1982292611
-
- Prevention Professional
- Frisco, TX
- NPI 1679093587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1770129280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 HOLLOW FALLS CT",
"city": "FRISCO",
"state": "TX",
"postal_code": "750367739",
"telephone_number": "214-675-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 HOLLOW FALLS CT",
"city": "FRISCO",
"state": "TX",
"postal_code": "750367739",
"telephone_number": "214-675-5948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "THOMAS",
"middle_name": "TYRONE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-19",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.